Obscure Gastrointestinal Bleeding from an Ampullary Tumour in a Patient with a Remote History of Renal Cell Carcinoma: A Diagnostic Conundrum
Metastasis of renal cell carcinoma to the ampulla of Vater is a rare occurrence. The outlined case, which presented as an upper gastrointestinal bleed, is only the eighth such reported case in the English-language literature. This case is the longest reported time interval between surgical nephrecto...
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Format: | Article |
Language: | English |
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Wiley
1998-01-01
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Series: | Canadian Journal of Gastroenterology |
Online Access: | http://dx.doi.org/10.1155/1998/429832 |
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author | Rhonda M Janzen Alnoor S Ramj Julia DA Flint Charles H Scudamore Eric M Yoshida |
author_facet | Rhonda M Janzen Alnoor S Ramj Julia DA Flint Charles H Scudamore Eric M Yoshida |
author_sort | Rhonda M Janzen |
collection | DOAJ |
description | Metastasis of renal cell carcinoma to the ampulla of Vater is a rare occurrence. The outlined case, which presented as an upper gastrointestinal bleed, is only the eighth such reported case in the English-language literature. This case is the longest reported time interval between surgical nephrectomy to presentation with ampullary metastasis at 17.5 years. The ampullary source of bleeding in this case was initially obscure and missed by conventional gastroscopy. Diagnosis was made with a side-viewing endoscope, emphasizing the usefulness of this instrument in the investigation of active bleeding from a small bowel source. |
format | Article |
id | doaj-art-1b11f8f8133c414eb1330c3d21a6dcf8 |
institution | Kabale University |
issn | 0835-7900 |
language | English |
publishDate | 1998-01-01 |
publisher | Wiley |
record_format | Article |
series | Canadian Journal of Gastroenterology |
spelling | doaj-art-1b11f8f8133c414eb1330c3d21a6dcf82025-02-03T05:54:18ZengWileyCanadian Journal of Gastroenterology0835-79001998-01-01121757810.1155/1998/429832Obscure Gastrointestinal Bleeding from an Ampullary Tumour in a Patient with a Remote History of Renal Cell Carcinoma: A Diagnostic ConundrumRhonda M Janzen0Alnoor S Ramj1Julia DA Flint2Charles H Scudamore3Eric M Yoshida4Department of Surgery, University of British Columbia, Vancouver, British Columbia, CanadaDepartment of Medicine, University of British Columbia, Vancouver, British Columbia, CanadaDepartment of Anatomical Pathology, University of British Columbia, Vancouver, British Columbia, CanadaDepartment of Medicine, University of British Columbia, Vancouver, British Columbia, CanadaDepartment of Medicine, University of British Columbia, Vancouver, British Columbia, CanadaMetastasis of renal cell carcinoma to the ampulla of Vater is a rare occurrence. The outlined case, which presented as an upper gastrointestinal bleed, is only the eighth such reported case in the English-language literature. This case is the longest reported time interval between surgical nephrectomy to presentation with ampullary metastasis at 17.5 years. The ampullary source of bleeding in this case was initially obscure and missed by conventional gastroscopy. Diagnosis was made with a side-viewing endoscope, emphasizing the usefulness of this instrument in the investigation of active bleeding from a small bowel source.http://dx.doi.org/10.1155/1998/429832 |
spellingShingle | Rhonda M Janzen Alnoor S Ramj Julia DA Flint Charles H Scudamore Eric M Yoshida Obscure Gastrointestinal Bleeding from an Ampullary Tumour in a Patient with a Remote History of Renal Cell Carcinoma: A Diagnostic Conundrum Canadian Journal of Gastroenterology |
title | Obscure Gastrointestinal Bleeding from an Ampullary Tumour in a Patient with a Remote History of Renal Cell Carcinoma: A Diagnostic Conundrum |
title_full | Obscure Gastrointestinal Bleeding from an Ampullary Tumour in a Patient with a Remote History of Renal Cell Carcinoma: A Diagnostic Conundrum |
title_fullStr | Obscure Gastrointestinal Bleeding from an Ampullary Tumour in a Patient with a Remote History of Renal Cell Carcinoma: A Diagnostic Conundrum |
title_full_unstemmed | Obscure Gastrointestinal Bleeding from an Ampullary Tumour in a Patient with a Remote History of Renal Cell Carcinoma: A Diagnostic Conundrum |
title_short | Obscure Gastrointestinal Bleeding from an Ampullary Tumour in a Patient with a Remote History of Renal Cell Carcinoma: A Diagnostic Conundrum |
title_sort | obscure gastrointestinal bleeding from an ampullary tumour in a patient with a remote history of renal cell carcinoma a diagnostic conundrum |
url | http://dx.doi.org/10.1155/1998/429832 |
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